CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 25117 Property Address 

Field Work Started 8/13/2007 Field Work Completed 

Summary: 

3122 Myrtle 

8117/2007 

• The excavation was performed in compliance with the work plans and specifications. 

• B I excavation depth was 9 inches below ground surfaces. 

• Drip zone excavation depth was 12 inches below ground surfaces. 

• Verification samples confirmed that cleanup standards were met. 

• The site was backfilled with material which meets the contract specifications. 

• The backfill was compacted to acceptable standards. 

• Sod placement and site restoration were conducted in compliance with the specifications and 

work plans. 

Comments: None 

Sc.. .,-\-1 Dvl'l f'I ECCQCM IOlz.itCl~ 

Jeff 

Name 

Hubbard 

Title 

USACE Con Rep 

Date 

ill, a le I 

~' Name Title Date Siga me 

hJL
AiIiiIl\

., 

CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

mJ 

us Anny Corps 

of Engineers 

Analytical Results Summary 

OLS # 25117 

3122 Myrtle 

Sample 

Type 

Quadrant Depth Date Collected XRF Results 

(ppm) (avg.) 

PX EA 0 8/10/2007 116 

DE 81 9 8/14/2007 72 

E DZ 12 8/14/2007 80 

I I 

SAMPLE IDSAMPLE ID is a particular residential property 10 from which the sample is collected. 

The sample type identifier (with sequential sample number for that location) as follows; 


PX - Pre-Excavation XRF sample 


DE = During and Post Excavation 


Quadrant describes the sampling location (with sequential sample number for that location) as follows; 

FI or F2 0:: Front Yard One or Front Yard Two 

BI orB2- Back Yard One o,Back Yard Two 

DZ - Drip Zone 

GA = Garden 

PA - Play Area 

EA 0:: Easement 

Depth describes the depth from which the sample was collected.. 

ppm - parts per million 
25117 1IIIIInlllllili~II m11111111 

Exterior Paint North AIrr>N Omalia Laad Site Owner Name: ~~~ ___~GYN!tIlA ~~LLO o Good Site Sketch Address: 3122 MYRTLE=A~V__ 


Phnn'" H: 402-345-7663 W: 402-451 -2622 
 ~~~-,-. XRFCode 3 q 

Quadrant Lead Concentration Date 


Fl _ _____ _ ____.lppm 
 BJI4/Q1

F2 ppm Bl-~9~ LJ/ ---.,. 72 ppm 


B2__:--___ ppm LogBook 


DZ J'L :):'AkJ./ 80 ppm ~3 

EliSpt?G1J1: - !\ /l ID ppm 


ppm 


ppm 


ppm 


Legend: F1 " Front left, F2" Front Right, B1 " Back left, B2 " Back Right DZ" Drip Zone, GZ =Garden, PZ =Play 

AU Quadrants are 3$ viewed from the street, facing property · .... ... ........... . .. .. .. .. ... .. . ..... ... .. . . .. ..... . .. . - - ... . ....... . ...... .... - .. 
 · . . . . . , . . . . . . . 

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page 1 of_ 

U.S. Environmental Protection Agency Region VII 

Omaha lead Site 

Omaha,NE 

Residentiat Yard Soils 

Environmental Restoration 

Services 

PROPERTY ACCESS (to be completed by property owner) 

2 a'ac.J.<:",,,''"''I,, ~ .... v ':.,'·,l.C'_",;:;I -E-C)L, .:. 

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (USACE), Omaha 

District to conduct environmental restoration services for the Omaha lead Site. USACE Omaha is working with 

Environmental Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration 

services. Your cooperation is requested in giving EPNUSACElECC permisSion to access your property during the 

emovaVrestoration phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551­

7003 or the Office of External Programs, at 1-800-223-0425. 

Property Access Granted By 

(Please Print Name) 

ate) 

NOTE G f .. DOES NOT ., . . ,. rt ." be meet· t d tlh' f ~ -~ - . 

PROPERTY INFORMATION 


(to be completed by reSldC-1l1 ,1r1d or propeny owner - Please P"'1/) 


Resident Name:_..u!1c:;'-"'ff'-'€'-'.&>-.T'--------"'C'-'-h.!..cJ..c:.'-:.;;.O"'-\.l""-U...,lli1"""'1_ [1]...-6w;,er o renter 

Residence Address: .s/,;).;J. )1 ~ V€ Nt. (CITY) (STATE) (ZIP) 

Property Owned By:__""S"-'t9:...<..:...M....:...>,.{____________________ 

Owners mailing address: ________________________________ 

Owner's WOrk: ____________________ telephone number - Home: .3'is' - 7(,t.J 

!Age of Home? _______years How long have you lived here? _____years 

Has the exteior been painted or covered with siding since 1978? DYes o No 

Has the interior been painted or covered since 1978? DYes o No 

Irotal number of occupants: ______ list Ages:._____________________________________-I 

list ages of occupants under 6 years old who play in the yard for 5 or more hours per week: _______ 

Comments: 

~UTHORtTY FOR ENVlRONMENTAl RESPONSE ACTIONS 

he activ;ties to be impkmlented by EPA under thIS agfeemenl are pursuant to Section 104 of CERClA, 42 U.S.C. 9604. EPA's nght of access to 

the property for in Section 104(e) of CERCLA. 42 U S.C. 9604 (e), which provides enlfy for . "determining the need for re&ponse, or dloosing or 

aking any response acbon under this litle, or othel'Wlse enforcing the provisions of this title." 

Access AHempts: 


First: _______ _________ Second: : _________ _________ Third: : _______ ______ ___ 

pg._of_ 

List of Existing Conditions 


Property Address: .sId,). f{ y.eT/..£ DVD ID # _____ 

Owner: j}/..86!T .terN/1t11l CAu/) Date: 2-o~-o2 BVID# .:lSI/Pj 

Ref: 


Photo 


# 

Description 

Owner Signature 	 ECC~ (p/.J--s.J/S 

pr()Jy)Jt~ Prin gn &~,.".....,
Contract No. W912DQ-04-D-0017, Task Order DKOI 


Omaha Lead Site, Omaha, NE 


Property Closeout Agreement 


BVID S"1 Property Address I sl..ll (YJ /(!2 'rI.i" //-1/ 

Property Owner IIiJ.J?t'i' CHLL/JIN'If 'f Is the Owner the Resident? ~s 0 No 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps ofEngineers 

(USACE), Omaha District to conduct environmental restoration services for the Omaha Lead Site. 

USACE Omaha is working with Environmental Chemical Corporation (ECC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EP AlUSACElECC permission to access your property during the 

removal/restoration phase is sincerely appreciated. This document certifies that all work performed at 

this property was completed in accordance with the contract specifications and EPA requirements. 

If you have questions or need additional information please contact Don Bahnke, EPA Project Manager, 

at (913) 551-7003 or the Office ofExtemal Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or 

Charles "Skip"Milton 

ECC Project Manager 

Name Title Date Signature 

PROPERTY OWNER SECTION 

This agreement documents the completion ofremedial/restoration efforts at the property to my 

satisfaction. 

[id/" I agree that restoration is completed at my property, except as noted 

Comments (if applicable): 

)to dJ!lL2J (1 (//lrn./<./j,M //-og-c') 

'property Owner's Signature '/ Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Dased Contractin.: (PDC) Pilot Project 

Remediation Contractor: _--'E"'-=(.l...C________________ 

Property Identifier Number: ________ 

Property DVID Number: .;).S /I '2 

Property Address: S JJ:J- AI 1ft( n.f !til 

Property Owner's Name: IlLugr C ft1..1.fJWIN 

(above infonnation to be filled out by remediation contractor prior to delivery of fonn to Property Owner) ••** •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Instructions to Property Owner: 

lbis fonn is provided to you as a means oftrying to capture your level of satisfaction 

with the work ofthe above-identified Remediation Contractor, as applicable to the soil cleanup 

action at your property. The U.S. Environmental Protection Agency (EPA) and the U.S. Army 

Corps of Engineers (USACE) are very interested in your opinion regarding the work performed 

by our contractors. lbis fonn is intended to provide an easy means for you to express your 

opinion about the work performed on your property. 

Please indicate your level of satisfaction with the Contractor's work by selecting a 

numerical rating (ranging from 1 to 10) using the following rating scale, then please sign & date 

the fonn and retum it to USACE in the attached self-addressed & stamped envelope. (Additional 

comments may also be provided in the space provided, at the option of the property owner.) 

Q "excellent" W "very good" 

5-6 "acceptable" 

3-4 "poor" 

1-2 "very poor" 

Property Owner's Satisfaction Rating regarding Contractor's Work 

10 5 


9 4 


8 3 


7 2 


6 1 


Additional Comments from Property Owner (optional; continue on back of pw if needed) 

Property Owner's Signature: K Qt~k rlt&~ate: II-tJ,?-t'?